CHERYL GODDARD (NPI# 1942278510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942278510 |
| Entity Type | Individual |
| Full Name | CHERYL GODDARD |
| Credential | CRNP |
| Practice Address |
9109 Liberty Rd Randallstown MD 21133-3521 |
| Mailing Address |
1067 Upnor Rd Baltimore MD 21212-4021 |
| Practice Telephone | 4106557373 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R087591 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST BC OF NCA IND # | 0119 | 01 |
| MD | CAREFIRST BC OF MD IND # | 64769601 | 01 |
| Street Address |
9109 LIBERTY RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595093 | Kelsey Johnson | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2020-10-11 |
| 1427696376 | Liberty Rd Randallstown Md Opco LLC | Nursing Facility/Intermediate Care Facility | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-12-11 |
| 1285281766 | Kimberly Whelan | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-08-20 |
| 1912567363 | Brenda Williams-whitehead | Registered Nurse | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-06-18 |
| 1639633977 | Garrett Michael Torchiani | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-01-30 |
| 1912493545 | Ebone Leach | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2018-07-06 |
| 1538651344 | Bhumi Patel | Physical Therapist | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2018-06-06 |
| 1902309883 | Caleb Mitzel | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133 | 2018-03-16 |
| 1306358148 | Monal Atulkumar Graham | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2017-11-02 |
| 1942730064 | Elizabeth Holland Green | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2017-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902433162 | Cecilia Mah- Nso Arrey | Nurse Practitioner | 3420 Carriage Hill Cir Apt 104, Randallstown, MD 21133-6037 | 2020-03-26 |
| 1811529787 | Conrad Joshua Shakes | Nurse Practitioner | 9506 Caveat Ct, Randallstown, MD 21133-4662 | 2020-02-10 |
| 1356805154 | Health Express of Maryland Inc | Nurse Practitioner | 3669 Offutt Rd, Randallstown, MD 21133-3515 | 2019-01-25 |
| 1902360118 | Andrea Ajogun | Nurse Practitioner | 9737 Eustice Rd, Randallstown, MD 21133-2511 | 2019-01-22 |
| 1548770720 | Oluremi Olufisola Adedapo | Nurse Practitioner | 3412a Carroll Ave, Randallstown, MD 21133-3917 | 2017-10-02 |
| 1841725066 | Latifat Raimi | Nurse Practitioner | 4020 Amy Ln, Randallstown, MD 21133-3612 | 2017-04-25 |
| 1023568920 | Margaret Mensa | Nurse Practitioner | 25 Adrianne Ct, Randallstown, Randallstown, MD 21133-4347 | 2016-10-04 |
| 1295185528 | Pamela Jumah Ogeya | Nurse Practitioner | 4121 Dutch Mill Rd, Randallstown, MD 21133-4439 | 2016-06-17 |
| 1215328323 | Happiness Aguzie | Nurse Practitioner | 8933 Greens Ln, Randallstown, MD 21133-4240 | 2015-02-10 |
| 1548592926 | Starlene Delores Mckelvin | Nurse Practitioner | 9123 Sunset Ridge Rd, Randallstown, MD 21133-3651 | 2010-02-09 |
| Find all providers in RANDALLSTOWN | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on CHERYL GODDARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.